HomeMy WebLinkAbout2812 DRAKE AVE - Building Permits��
(7�4) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job nddress: 2812 DRAKE AV
Suile:
Vicinity: RESIDENCE AND ATTACHED GARGE
Parcel Number: 14130106
Applicant: BRESLIN, BILL
Address: 1835 WHITTIER AV
UNIT F12
COSTA MESA, CA
Owner: LIOTTA, MqRLON
Address 2812 DRAKE ST
Zoning: R1 R1
Phone: 600-784-8787
Zip: 92627
Phone:
COSTA MESA, CA Zip: 92626-5804
Contractor. 21ST CEN7URY ROOFING INC
Address: 1835 WHITTI�R AV
UNIT F12 Phane: 800-784-8787
COSTA MESA, CA
Zip: 92627 License: 807430
Arch :
Address:
Phane:
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 05/02/2003
Issued: 05/02/2003
Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF RESIDENCE AND ATTqCHED GARAGE: T/O EXISTING WOOD SHAKE ROOF, 7/16" OSB PLYWOOD, 1 LAYER 303 FELT, APPLY "30-
YEAR ELK COMP SHINGLES; C�ASS A.' 17 SQUARES
Plan Check: $0.00
Permit: $111.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existinq: p
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$4,050.00
sa,oso.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. '
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspecliona end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 750.5626
zaaaae �sroo�
WORKERS'COMPENSAnON DECLARATON:
I hereby aHirtn untler penalry of perjury one ol iha following declaration5:
❑ I heve entl wlll m8��tein e ceniticate oi consent to self-Insure lor workers' compensation, es provided for by section 3700 of the Lebor Cotle, lor the pertortnanca at the
oAc for w�ich this pertnit is issued.
\ I heve end will maintaln workers' compensation insurance, es required by section 3700 of Ne Labor Code, for ihe pedortnance ot ihe work tor which ihis pertnii is �ssued.
My workers' mpensation InsuranCce wrrier antl policy number ere: ) / / I�
Cartier: �fi-��� � /—l//✓7 poliry NumDer. 9�.�/ Y�q 7 � l Q�
(This section need noTbe'Lroinp/efed d he permit is valued af one hundred dollars ($100) or less.) � �
❑ I canify thet in Ih6 performance of tha work for which this Dermit is Issued, I shall not employ any person in any manner so es to become subject to Ihe workers'
compensaiion IaWs ol Celll e, end egree t f I 5houltl bgcome suDject to ihe workar5' Compensetion provislons ol Sectlon 3700 0l t�e Lebor Cotle, I shall forthwit�
comply with these P�ovisi . 'n/ ) j/'/ /7
ApplicantSigneWre: � ���-/ [ o^`-ri Date:� %�^/-�/ � 3
WARNINO: FAIWRE TO SECUR WOiiKEPS' CQ�IPENSATIdJ COVEMGE IS UNLAWFUL M1D SMAIL SUBIECi AN EMPLOYER TO CRIMINAL PENALTIES D GVIL FlNES UP TOONE HUNDRED
THOUSAND DOLLARE (5/ W,000). IN ADDITIIXJ TO THE COST Of LOMPENSATIIXJ, DAMAGES AS PHOVIDED WR IN SEGTIIXJ 31080F iHE UBOF CODE, IMEPEST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATON:
I hereby eMirtn that I em licensed under pmvisic
force antl eHect. Lic. q�
Cont2aors Signature:
9(wmmencing with Seaian 7000) of Division 3 of ihe
a Class
n�,.� Oate'
antl my license is in tull
CONSTRUC710N LENDING AGENCV:
❑ I hereby elfirtn th0� there is e wnstruction IenAing egenty for Ihe pertormance of the work tor which Ihis pertnit is issued. (Sec. 3097, Civil Cotle).
Lendefs Name: Lender's ACdress:
Sipnature:
OWNER-BUILDER OECLARATIONS:
Date:
I �ereby ettirm thet under penalry ot perjury Ihet I nm EXEMP7 FROM T1E CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business end Professions
Code: Any ciry or counry which requires a permit to consiruci, elter, improva, demolish, or repair eny stmcture, prior to its issuance, elso requires Ihe epplicant for such permit
to lila e signetl statemen� that he or sha is licensetl pursuant to Ihe pmNsions of the Contrectors Llcense Law (Chepter 9(commencing wlth Section 7000) of Division 3 oi Ihe
Business and Proiessions CoOe) or thai he ar she Is exempt ihereirom entl ihe Gesls tor ihe alle9ed exemption. Any violation of Section 7031.5 by any applicant far a permit
subjects the apPlicant to e civil penalry of not more than Nve hundred dollers ($500).):
❑ I, as owner of the P�opeM. or my employeas with wages as thelr sole compensation, WILL DO THE WORK, and ihe strucWre Is not intendetl or offered tor sale (Sec.
7044, Business and Pmfessions Cotle: The Conirectors License law does not apply to an owner oi pmperty who bullds or ImDroves thereon, antl who dces such work
himsell or herself o<<�rough his or her own employees, pmvided that such impmvemems are not intended or oHeretl tor sale. tl, however, the builtling or improvement is
sold within one yaar of completioq the owner-builder will �ave the burden of proving that he or she did not build or improve lor purpose ot saleJ. �
❑ I, es owner of the Property, em E%CLUSIVELY CONTRAGTING WITH LICENSED CONTRACTORS to wnsiruct the project (Sec. 7044, Business and Professions
Code: The conireG�ors Licensa Lew does not eppty to an owner of property who builtls or improves Ihereon, and who contrecis tor such project with a contraaor(s)
license pureuant tP the Coniractors License LawsJ.
❑ I am axempt untle� sec. Business nntl Prolessions Cotle lor this reason:
Signature: Date:
Ownar ID veAfietl by dn�er's license. �Ves ❑ No Drivers License No.
Vedticatfon ot Ownership by (type of documem, i.a. - property tax bill or deed): __
DIVISION OF INDUSTqIAti SAFETY PERMIT CERTIFICATION:
Eapires:
❑ I hareby certify that no excavation five (5) or more leet in depth into which a persan is required to descenq will be mede in connection with work authonzed 6y ihis
permit, and ihat no building siructure, scattolding, felsework, or demolition or dismentling thereof, will be more than ihirty-siz (36) teet high. (Chap. 3.2, Gry 2, An 2, Sec.
341, Ttle e, Celifomla Aaministretive Code).
❑ As ownar-�uiltler. � wlll no� employ anyone to do work which would requlre a pertnit imm �he Division oi IntlusMel Safery, es noted above, unless such person hes e
permit to do such work from ihe division.
SignaWre: Date:
Division ot Intlustnal Sefery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUT}IORIZA710N OF EHTTiV: I certity under penalty of parjury t�at I have read ihis epplication antl state ihat Ihe infortnation given is
wrrec�. I egree to comply with ell state laws and city ordinances releNng to building construction, end authodze representatives of ihe Gity of Cos�a Mesa �o enter upon the
above-described property for inspection purposes. I agree not to occupy or ellow occupancy of any building authorized by this permit until final inspection.
/ o � nature f galOwn s) �
�C.ti
�' Antl/Or Kuthorized Applicant
COOE �. INSPECTIONTYPE
1616 Fi:etl System Final Fire Prevention
1268 Pool SOa Finel
200 Final Ra-Root
201 Final Block/Reta�ning Wall
202 Final Fectory Fi�e Place
203 Final5lgn
204 Finel Demolilion
PA7& UilIDA4§
SJL� 'c�-�_
CODE 1 INSPECTION TYPE
206 Finel Mechanical
20B Finel Plumbing
210 Final Eleciriwl
212 Pinel Fire Prevention
220 Final Planning Approval
222 Finel Sita
250 FinalBuilding/Oaupency
'S � n 2
Dat ^
DATE �
32263
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA MEBA. �AL�FORNIA
For Appllean+ fo Fill In Complefely
TYPE OR PRINT
ADOREI69 Z812 �n2�� Avenue
COSTA MESA CALIFORNIA
FEE RECEIVED
� JUN 17 1960
FINo� cos�aPM sA
APPLICATIOt�FOR ERMIT
�c � 27 BUILDING
.an � 2D
For Office Use Only
ADDRESS SL1LC8 1 3HOO F.. C088C HL FIFTB � �. /..
60 "/`=
Coiooa del M8r Nabt 3k220 BUILDING
���' ADDRE65 Colt�bo Avenue
ARCHITECT � ond Levanas TEL. � 3701 COSTA MESA. CALIFORNIA
OR ENGINEER }� NO.
ADDRESS 3432 Via Q�OitO� Newport Beach FIRE
ZONE TYPE GROUP J�
CONTRAGTOR O C�,On APPROVED
BY DATE
ADDRE65 3800 E. Coast Highvay ZONING
' ZON! NO. OF U88 OP NCW
CITY COTODS del Mar ' Pu�s aui�oiHa
�cTNo. 98808 No: Or 3-4220 O[9CRIPTIONLOC 27 nact � 3749
oF ior (�S X 9G I NO. OP e�ooe. �
NOW ON LOT p,p �.y�
USE OF YAROS EVES
EXISTING BLDG APPROVED ALLOWED
86TBACK LINB PROM .2C ICeNi6P 4N! OTJ
CeNTER OP BiRE6i 43 REAR YARD � FRONT � FT. IN.
SIDE YARD LEFT 5 IRIGHT 5 R.SIDE FT. IN.
DESCRIPTION OF WORK
L. SIDE FT. IN.
� X �� � �� _______ �
BIZE .%� X
EXTERIOR WALL
COVERING
USE OF BUILDING
�o. or 6
tOOMS
ROOF
COVERING
K TO BE PI
1
D /
O/
with attached garage
I HERlBY ACKNOWLeDGe AT 1 NAVe ReAD TXIB AP LIGTION }Hg AMOUM BXOWN UNOep V�LUATION I6 POP THB
ANO BTATB TXAT TX8 A V¢ IB GORREGT AND AOP M COM- pypp086 OP eeTABLIBHING A GeRMiT FH[ ONLY.
PLV WITH ALL CIiY ORD NANC¢6 �ND 6TAY L�'MB GULATNG
am�wo wHernurn ' , VALUATION
SIGNATURE OP G PERMIT FEE $ 32.00
PERMITfE
$ L3�SIS.00 pLAN CHECK $ 16.00
AUTHORIZED AGENT pt'Oj9CC M8[18gCi
TOTAL FHH 48•��